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I l' <br /> CITY OF ORONO11H�H 1 11 1 il11 11 <br /> [ tit <br /> * 20 1 7 - 0 1 6 5 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/26/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 125 BAYSIDE TR <br /> PIN : 06-117-23-22-0029 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED <br /> VALUATION : $ 589,211.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 589211.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: SINGLE FAMILY/NEW CONST <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01688/ <br /> APPLICANT ADVANCED PLAN REVIEW 2,666.57 <br /> M&M HOME CONTRACTORS TOTAL 2,666.57 <br /> Payment(s) <br /> 413 PAUL AVE S <br /> CHECK 2632 2,666.57 <br /> COLOGNE,MN 5532/ `/y,22- <br /> Minnesota State License#: BUIL-BC560376 <br /> OWNER <br /> WACHMAN JR.,ERVIN <br /> 2135 SALEM CT <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> 'App ica t rmitee ;: it- Date Issued By Signature Date <br />